THOMAS B CHARLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

THOMAS B

Last Name

CHARLES

Suffix

Business Name

THOMAS B CHARLES MD

Original Issue Date

06/13/1997

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020